NUR 324 Lecture Notes - Lecture 4: Knee Replacement, Orthopedic Surgery, Arthroplasty
Document Summary
Across all age groups (children/adolescents (sports), elderly (falls) Apply uniform pressure to soft tissues (circulation, pressure ulcers, skin breakdown) Plaster (always put on wet, patient education) Braces (orthoses: provide support, control movement, and prevent additional injury, custom fitted to various parts of the body. Expectations during the casting process (e. g. , heat from hardening plaster) Cast care: keep dry; do not cover with plastic (can put plastic over for shower but lightly tape and then remove once finished. Positioning: elevation of extremity, use of slings. Hygiene do(cid:374)"t (cid:272)lea(cid:374) the (cid:272)ast, do (cid:374)ot (cid:272)lea(cid:374) ar(cid:373) u(cid:374)der the (cid:272)ast - Do not scratch or stick anything under cast. Cushion rough edges petaling along edges. Signs and symptoms to report: persistent pain or swelling, changes in sensation, movement, skin color or temperature, signs of infection or pressure areas. Presenting signs and symptoms and condition of the area. Monitoring of neurovascular status, for potential complications. Fi(cid:448)e p"s: pai(cid:374), pallor, pulselessness, paresthesia (weakness), paralysis.
